There are a lot of people smarter than me on here, so looking for some advice. I have a spouse and two small kids. I've always done a traditional PPO healthcare plan because the cost was 100% covered by work and I was too lazy to switch. Because my wife had her own HDHP plan, we had HSA access. She's not working right now (but will be going back eventually). I'm considering doing HDHP but wondering if anyone with small kids has regretted that? (cont. in comments)

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HDHP usual out of pocket max is $10,000. HSA is the best possible tax free investment vehicle as you don’t get taxed initially, on growth, or on the way out *and* it can be converted to traditional IRA at 65. You can put $7,000 into HSA a year, so you essentially need just one year where you don’t hit the max - invest the $7,000 - and it’ll be your insurance for all future years (insurance that your expenses won’t exceed the funds in your HSA).

Use a plan calculator. The net out of pocket in a catastrophic case will show that your net out of pocket is the same regardless of plan. Sooooo, at least with HDHP if you don’t max out you can keep and invest the savings tax free forever. But on non-HDHP that money is always lost via premiums.

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Premium cost of HDHP and PPO plan is the same, but HDHP plan gives me about $1500/year in HSA contributions. I'm a little worried about having a particularly bad year with doctors visits etc. where I have a lot of out of pocket costs. The whole point of the HSA for me would be to invest and grow it, so I don't typically use the HSA to cover actual healthcare costs. Just wondering if anyone with small kids has made this switch and regretted or rejoiced it after the fact.

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